Individual
MRS. CECILIA A SERNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4330 N PERSHING AVE STE B3, STOCKTON, CA 95207-6965
(209) 476-8533
Mailing address
4330 N PERSHING AVE STE B3, STOCKTON, CA 95207-6965
(209) 476-8533
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A5125098
DRIVER LICENSE
CA
Enumeration date
06/10/2008
Last updated
06/10/2008
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